National Provider Identifier [NPI]: |
1346397205 |
Last Name Of The Provider |
GANDHI |
First Name Of The Provider |
AMY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2339 HILLSBORO RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
370696242 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
1363 |
Number Of Medicare Beneficiaries |
166 |
Total Submitted Charge Amount |
85016.5 |
Total Medicare Allowed Amount |
47200.48 |
Total Medicare Payment Amount |
37016.34 |
Total Medicare Standardized Payment Amount |
38732.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
1925.5 |
Total Drug Medicare AllowedAmount |
1271.94 |
Total Drug Medicare PaymentAmount |
1180.98 |
Total Drug Medicare Standardized Payment Amount |
1180.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
1280 |
Number Of Medicare Beneficiaries With Medical Services |
166 |
Total Medical Submitted Charge Amount |
83091 |
Total Medical Medicare Allowed Amount |
45928.54 |
Total Medical Medicare Payment Amount |
35835.36 |
Total Medical Medicare Standardized Payment Amount |
37551.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
155 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2749 |